Abstract

Objective To discuss the principles of the diagnosis and treatment of severe thoracic trauma in children. Methods Retrospective analysis was performed on 117 children with severe thoracic trauma treated in our department during March 1998 and October 2007. The patients included 83 boys(71%) and 34 girls(29%). They included 50 with traffic accident injury, 46 with sharp force injury, 15 with falling injury, 4 with crush injury, and 2 with gun injury, respectively. Shock was complicated in 25 cases (32%). Among all 117 patients, 92 were treated with conservative methods such as thoracic close drainage, while 25 were undertaken operation. Results Eight children (7%) died from complicated injuries, including 2 during operation from severe brain injury and spleen rupture. All the others were recovered uneventfully without any complications. Conclusions Since thoracic trauma in children shows sophisticated characteristics, suitable initial aid is essential to reduce mortality and improve the prognosis. Key words: Thoracic injuries; Thoracic surgical procedures

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